Video & Transcript Research : 'direct care'

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MO
Transcript Highlights:
  • This bill also provides the department. care and facilitation of care.
  • , providing care. ...can be done to prove the person is safe to continue care, providing care.
  • Health care.
  • Health care.
  • So it's titled Health Care. great. Thank you. So it's titled Health Care.
Summary: The House first established a quorum after introductions of the Freedom of the Road Riders and Warsaw High School students. Members then took up House Bill 1855, a reporting bill on alpha-gal syndrome. The sponsor described the bill as a public health surveillance measure to add alpha-gal to Missouri’s reportable conditions, require lab reporting to the Department of Health and Senior Services, and send aggregated data to the CDC. Supporters said the bill would help identify hotspots, guide education and funding, and address a serious tick-borne condition affecting rural and urban Missourians alike. Opponents raised concerns about cost, false positives/negatives, and privacy, but the sponsor and others said the system would be HIPAA-compliant and de-identified at the federal level. Two amendments to HB 1855 were debated. An amendment changing the department’s follow-up authority from “may” to “shall” was adopted, with supporters arguing that if the legislature funds follow-up, the department should be required to do it. A second amendment creating an opt-in/opt-out consent process for reporting was rejected 41-10 after extensive debate over privacy, data collection, and whether consent would undermine disease surveillance. The House then adopted the House committee substitute for HB 1855 as amended and ordered it perfected and printed. The chamber next considered House Bills 2230 and 2978, a revised education measure aimed at reducing screen time in K-5 classrooms and encouraging handwriting and cursive instruction. The sponsor said the bill was based on research linking heavy screen use to poorer educational and behavioral outcomes, and supporters emphasized local control, parent access to screen-time policies, and the need to bring experts together through a state-level focus group. An amendment to exclude virtual school programs was adopted. The House then adopted the committee substitute for HB 2230 and 2978 as amended and ordered it perfected and printed. Finally, the House began debate on House Bill 2355, the Food Is Medicine Initiative. The sponsor said the bill would let Missouri use federal funds through 1115 waivers to pilot medically tailored meals, produce prescriptions, nutrition counseling, and related interventions to improve health and lower Medicaid costs. Members generally supported the concept, citing food deserts and the benefits of better nutrition, but an amendment adding vitamin therapies and cleanup language prompted concern from one member about supplement quality and regulation; the transcript ends during that amendment discussion.
CA

California 2025-2026 Regular Session

Senate Judiciary Committee Apr 28th, 2026

Judiciary

Transcript Highlights:
  • There are three legal tools for communicating one's care preferences: advance health care directives,
  • Advance health care directives allow a person to designate someone to make medical decisions on their
  • However, an advance health care directive expresses preferences. These are not medical orders.
  • Existing law already allows recognition of advanced health care directives. a pre-hospital DNR.
  • Existing law already allows recognition of advance health care directives from other states, and we believe
Keywords: 987, senate, all
FL

Florida 2025 Regular Session

October 15, 2025 - 01:30 PM

Transcript Highlights:
  • You directed us to reporting transparency.
  • This next This next one is the managed care pilot and expansion of the managed care pilot.
  • I mean, one of the things about the managed care program is managed care in the general sense in this
  • The second thing is Florida Community Care.
  • Next is the Family Care Councils. Next is the Family Care Councils.
Summary: The Human Services Subcommittee met to receive an update from the new director of the Agency for Persons with Disabilities on implementation of House Bill 1103. The director said APD is working to update the funding algorithm through a contracted study due November 15, 2025, expand transparency on its website, launch an online crisis application by the end of 2025, improve client choice in qualified organizations and waiver support coordinators, and coordinate with AHCA on the managed care pilot and Florida HealthFinder listings for APD providers. He also said APD is working on family resource materials, a monthly newsletter, and stronger transition planning with DCF. Members asked about whether the new algorithm would include transportation and what services might change, but the director said the replacement model is still being developed and any new methodology would be implemented through rulemaking. Questions also focused on Family Care Councils, including the statewide council’s membership and appointment process; the director said the statute sets the process and APD is helping councils recruit and organize. On transparency, members praised the website improvements and asked for more interactive data tools. The director said APD would consider suggestions and continue expanding public reporting. The committee also discussed eligibility and waiver notices, including concerns about outdated language in APD letters and how autism cases are reviewed. The director said clinicians and behavioral analysts review cases and asked to see the specific letter. On the pre-enrollment list, the chair asked about the wait list, and the director said APD recently sent 5,612 service offers to people on the list and is working to better distinguish those who truly need services from those who do not. No votes were taken, and the meeting adjourned after the presentation and questions.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, May 21, 2025 - Part 2)

US Federal House Floor Meeting

Transcript Highlights:
  • THAT'S WHOSE HEALTH CARE WE'RE TAKING AWAY. THOSE KIDS WHO RELY ON THIS FOR LIFE-SAVING CARE.
  • They deserve our care.
  • Health care is going to be denied.
  • and for home care will get hurt.
  • OLDER AMERICANS WHO RELY ON MEDICAID FOR NURSING HOME CARE AND FOR HOME CARE WILL GET HURT.
FL

Florida 2026 Regular Session

Rules Apr 21st, 2025

Rules

Transcript Highlights:
  • that treatment and care.
  • As a parent, it is both our constitutionally protected right and our responsibility to direct the care
  • But yes, they are receiving direct care, similar to how a 911 operator would respond and support.
  • If they're worried about compromising their patient's care, they can deny care.
  • If they feel that the care is not scientifically valid... ...they can deny care.
Summary: The committee first took up CS/SB 1606 on patient access to records. Sponsor Senator Grall explained an amendment that aligned the bill more closely with HIPAA by defining “designated record set,” allowing a 14-day extension, and requiring records to be produced in the requested form if readily producible. Several senators asked about patient portals, legal representatives, and whether the bill applied post-mortem; Grall said the bill was limited to authorized access during the patient’s life. Testimony was largely opposed, with health information and provider groups warning that the bill could create cybersecurity risks, conflict with HIPAA and meaningful-use rules, burden facilities, and improperly broaden access to portals and sensitive records. Supporters argued it would improve patient access and speed. The amendment was adopted, and the bill was reported favorably by roll call vote after debate on the bill as amended. The committee then considered CS/SB 712 on construction regulations. Grall described provisions on synthetic turf, change orders, public works bidding, elevator rails, alarm contractor scope, tall mass timber, pool and spa contractor scope, spaceport exemptions, permit document limits, and solar/energy storage inspections. Two amendments were adopted: one removed pool and spa contractor language and delayed the change-order provision until July 1, 2025; the other removed the tall mass timber section. Pool contractors testified against the scope expansion in the original bill, while others supported the remaining provisions. Senators raised concerns about the Florida Building Commission process and how the public-works language might affect small-business participation, but the bill as amended was ultimately reported favorably. Finally, the committee heard CS/SB 1288 on parental rights. Grall said the bill would require parental consent for most minor health care decisions, allow parental access to records, restrict surveys/questionnaires, and limit use of biofeedback devices, while preserving certain exceptions such as emergency care and STD testing. An amendment clarified questionnaire opt-outs for K-12 students, added court-order exceptions, addressed DNA sampling for criminal investigations, refined biofeedback language, and added emergency behavioral health exceptions; it was adopted. The bill drew extensive testimony both for and against: supporters said it restored parental authority and protected children from decisions they are not equipped to make, while opponents argued it would endanger minors seeking confidential STI, mental health, or abuse-related care, especially in unsafe homes. Senators also debated whether the bill would conflict with existing laws and whether it could leave some minors untreated. The transcript ends during continued public testimony on the bill.
FL

Florida 2026 5th Special Session

Senate in Session May 1st, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • of what they need to take care of.
  • They're going to take care of what they need to take care of.
  • You talked about the Guardian program now with our child care facilities.
  • Then you look at specialty care. This is even more devastating.
  • Nobody has done more to provide access to health care than Gayle Harrell.
Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and a series of introductions recognizing interns, pages, and retiring Senate staff, including Pastor Gary Austin. Leaders also noted ongoing budget talks with the House and said senators would not need to plan on being in Tallahassee the following week. The chamber then moved to third reading and returned messages from the House later in the day. The main floor debate centered on Committee Substitute for House Bill 12.5, the citizen initiative/constitutional amendment bill. Sponsors said the measure was intended to address fraud in the petition process, citing investigations, arrests, pleas, and open cases involving paid circulators and invalid petitions. Opponents argued the bill would make citizen-led amendments far more difficult, expensive, and risky, warning it would chill grassroots participation, burden supervisors of elections, and effectively favor wealthy or corporate-backed efforts. Supporters responded that the bill preserved grassroots petitioning, placed reasonable guardrails on paid circulators and sponsors, and included a provision barring public funds from being used to advocate for or against ballot initiatives. The bill passed 28-10. The Senate also passed several education measures unanimously, including bills tied to Bright Futures, dual enrollment, educator preparation, and broader education policy. Later, the chamber concurred in House amendments on several bills: stem cell therapy legislation clarifying permitted therapies and penalties for improper use of fetal or embryonic tissue; an EKG requirement bill for student athletes with exemptions and partnership options for districts; and a cardiac emergency response bill that renamed the school emergency plan and removed a bill title honoring Rafe McCrone. These measures passed by wide margins, generally 37-0 or 38-0.
MN
Transcript Highlights:
  • If you care about fraud in Minnesota, if you care about making sure that we do everything we can to prevent
  • We all care deeply that not a single tax dollar is wasted, abused, or stolen.
  • Every one of you cares deeply about that.
  • </c> decisions about direct appropriations. decisions about direct appropriations.
  • </c> million in direct funding. million in direct funding.
Keywords: 919, house, all
Summary: The House debated a motion to suspend the rules so House File 3843 could be recalled from committee and given second and third readings for final passage. The bill, carried by Representative Baker and supported by Representative Niska, would create a subcommittee of the governor’s workforce development board to vet nonprofit and other applicants for workforce development dollars, with the legislature retaining final authority. Supporters argued the proposal would add an extra layer of scrutiny, reduce fraud risk, and help prevent problems like those highlighted in recent reporting and past nonprofit funding scandals. Supporters repeatedly tied the bill to concerns about fraud in state grantmaking, citing the Feeding Our Future scandal and other nonprofit cases as examples of why more oversight is needed. Representative Baker said the committee process can be overwhelmed by many direct-appropriation requests at the end of session, and that a board-based vetting process would help identify red flags. Representative Enen and Representative Schultz also backed the motion, saying the bill would improve accountability and protect taxpayer dollars. Representative Pinto opposed the urgency motion, saying he supports moving toward more competitive grants but not adding another layer of bureaucracy without a fiscal note or fuller committee process. He argued the bill would not do what supporters claimed and that the legislature already makes funding decisions. After debate, the House took a roll call vote on the motion to suspend the rules. The motion failed by one vote, 67 yeas to 66 nays.
CA

California 2025-2026 Regular Session

Senate Judiciary Committee Apr 28th, 2026

Transcript Highlights:
  • There are three legal tools for communicating one's care preferences: advanced health care directives
  • Advanced health care directives allow a person to designate someone to make medical decisions on their
  • However, an advanced health care directive expresses preferences. These are not medical orders.
  • Existing law already allows recognition of advanced health care directives from other states, and we
  • I’m also a care petitioner, a family care petitioner.
Summary: The Senate Judiciary Committee heard several bills focused on health care planning, mental health, housing, homeowners associations, groundwater enforcement, pet-friendly rental disclosures, and post-disaster property protections. SB 1088 would modernize POLST and DNR forms by renaming POLST to “portable orders for life-sustaining treatment,” allowing nurse practitioners and physician assistants to sign, clarifying that the forms are voluntary, recognizing out-of-state forms, and permitting electronic signatures. It drew support from the Coalition for Compassionate Care and related groups and no opposition was presented. SB 1242 would allow family members who originally petitioned in CARE Court to continue participating for care coordination and information-sharing, subject to judicial discretion; supporters said it would improve treatment coordination, while Disability Rights California opposed it as coercive and a threat to confidentiality. The committee voted 7-0 to pass SB 1242, and it was placed on call. The committee also considered SB 1007, which would require more HOA transparency, including clearer budget comparisons and disclosure of evidence for violations, and would lower the threshold for regular assessment increases without a homeowner vote. Supporters argued it would curb steep fee hikes and improve accountability, while HOA industry groups warned it could undermine funding for insurance, maintenance, and other operating costs. Members raised concerns about the cap on assessments, but the bill advanced on a 6-1 vote and was placed on call. SB 1364, as amended, would bar custody or visitation rights for a person who impregnated a survivor through sexual assault, using a clear-and-convincing evidence standard rather than requiring a criminal conviction; supporters said it protects survivors and may increase federal funding, while opponents argued it could deny children a relationship with a parent. The bill passed 8-0 and was placed on call. Additional measures included SB 997, which would give the North Fork Kings Groundwater Sustainability Agency lien authority to enforce fees and sustainability rules; it had support from local water, farm, and county representatives and passed 9-0. SB 1296 would require landlords to disclose pet policies up front in applications, ads, and websites and allow application-fee refunds if disclosure was not made before payment; supporters said it would reduce wasted fees and pet relinquishment, while rental housing groups raised concerns about signage, ADA language, and vaccination disclosures. The bill passed 8-0 and was placed on call. Finally, SB 1090 would prohibit large property owners from making unsolicited purchase offers for five years in wildfire disaster areas, aiming to curb post-disaster speculation; supporters described aggressive investor pressure after the Eaton and Palisades fires, while real estate and title groups raised implementation and enforcement concerns. The committee was still discussing the bill when the transcript ended.
MN
Transcript Highlights:
  • And what the letter says is that writing to chairs directing us to avoid direct appropriations to private
  • </c> chairs directing chairs directing us<00:21:01.440><c> to</c><00:21:01.840><c> avoid</c> us to avoid
  • c><00:21:05.520><c> private</c> um direct appropriations to private um direct appropriations to private
  • </c> not a instruction or a direction. not a instruction or a direction.
  • So, uh, taken care of a long time ago.
Bills: HF2446, HF2563, HF2444
TX
Transcript Highlights:
  • care.
  • Residency is direct care with a supervising doctor. We work day and night. We take call.
  • Urgent care and primary care visits for them, okay?
  • of care... ...that would be directed because you all are independent in the authority of the licensure
  • care.
WA

Washington 2025-2026 Regular Session

Senate Early Learning & K-12 Education Feb 19th, 2026 at 10:30 am

Early Learning & K-12 Education

Transcript Highlights:
  • be that is being cared for with that license.
  • child care workforce.
  • currently provide care to 160 children.
  • Another aspect of child care the legislature ought to streamline relates to child care orientations.
  • The training I've done is called Safety Care.
Keywords: 904, all
CA

California 2025-2026 Regular Session

Senate Health Committee Apr 8th, 2026

Transcript Highlights:
  • Advance health care directives, pre-hospital do-not-resuscitate orders, or DNRs, and physician orders
  • Advance health care directives allow a person to designate someone to make medical decisions on their
  • However, an advance health care directive expresses preferences. These are not medical orders.
  • Existing law allows recognition of advance health care directives from other states.
  • In this role, I provide direct care to patients, overseeing and mentoring clinical nurse specialists,
Summary: The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time. The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion. After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.
CA
Transcript Highlights:
  • So a direction there is helpful.
  • It's the second largest health care system in California. to support our health care.
  • I don't care whether it's 10. I don't care if it's 15. Twenty starts to get a little shaky, right?
  • First, the shift of direct submission to DDS.
  • No changes to the directives, because the directives were made by professionals, and they are more than
Keywords: 988, house, all
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 04/14/26

Health and Human Services

Transcript Highlights:
  • </c> health care coverage. health care coverage.
  • </c><00:35:39.320><c> policy</c> care finance and health care policy care finance and health care policy
  • </c> care system are on each other. care system are on each other.
  • . care. care.
  • Those directed payments are tied to the managed care program.
Keywords: 1187, senate, all
AZ
Transcript Highlights:
  • expenses that exceeds the amount of the federal child care and dependent care credit.
  • And that's why we put it in the child care tax credit.
  • And so the two child care credits that we did... ...child care tax credit.
  • Madam Webb, Chairman, could you go back over the child care credit?
  • And Vince can help me on this: the child care deduction? Child care costs, right?
Keywords: 1182, all
Summary: The caucus focused on HB 2153, a tax conformity bill that would align Arizona statute with the Internal Revenue Code as of January 1, 2026, including retroactive provisions affecting tax year 2025. Staff explained that the bill excludes three federal provisions from H.R. 1: the additional $6,000 senior deduction, the increase in the state and local tax (SALT) deduction to $40,000, and the deduction for interest on new car loans. It also adds several Arizona-specific provisions, including a $6,000 deduction for certain retirement distributions for taxpayers age 65 or older, a $6,000 deduction for Roth IRA contributions, an increase in the dependent tax credit from $100 to $125, and a deduction for child and dependent care expenses above the federal credit. JLBC’s fiscal note was cited as a negative $441.3 million in year one, declining over the next two years. Chairman Livingston and other Republican members argued the bill was needed immediately because the Department of Revenue had already issued tentative forms assuming full conformity, creating confusion for taxpayers and businesses. They said the state needed a signed law as soon as possible to avoid amended returns, inconsistent filing rules, and uncertainty for small businesses. Livingston emphasized that the bill was intended to protect small businesses from having to keep two sets of books and said he was advising taxpayers not to file until the issue was resolved. Members also discussed the practical impact on small businesses, citing testimony that Arizona has about 700,000 small businesses employing well over a million people. Several exchanges clarified the difference between the governor’s November direction to the Department of Revenue and the bill before the committee. Staff explained that DOR normally assumes “simple conformity” and that the governor’s directive attempted to add “below-the-line” deductions through a worksheet, but that those items still require statutory authorization. Members said the governor’s action was confusing and characterized it as a press release rather than binding law. The committee also discussed the child care provisions, describing them as a federal-style deduction Arizona has not previously adopted and as one of the main new benefits in the bill. The caucus ended without a vote, and members were told the floor would begin at 10 a.m.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 02/25/26

Health and Human Services

Transcript Highlights:
  • Minnesotans care about their health and they care about the health of their families.
  • We took away their health care.
  • We took away their health care.
  • </c> and Minnesota care eligibility changes. and Minnesota care eligibility changes.
  • , for clinical care.
Keywords: 1187, senate, all
WA

Washington 2025-2026 Regular Session

House Community Safety Jan 27th, 2026

Transcript Highlights:
  • or if otherwise directed through a court order.
  • , and DOC is not equipped to provide adequate care to people.
  • payouts that are a direct result of that kind of care.
  • where they can get the care they need without litigation.
  • , deaths of children in foster care.
Summary: The House Community Safety Committee held public hearings on several bills. House Bill 2508, concerning the Office of Independent Investigations (OII), would expand OII’s jurisdiction over deadly-force and related use-of-force incidents, require broader notification and records access from law enforcement and emergency responders, and exempt certain OII investigative records from public disclosure. Rep. Deborah Entenman and OII staff supported the bill as a way to improve independent, transparent investigations, while committee members raised questions about when cases are considered “closed” and how to protect against repeated or harassing investigations. OII representatives said formal reviews are referred to prosecutors, administrative closures are not, and the bill would clarify existing public records protections. Law enforcement and public-interest witnesses were split, with some supporting the expansion and others objecting to added secrecy provisions and questioning safeguards and oversight. House Bill 2539, as amended by a proposed substitute, would raise the Department of Corrections inmate indigency cap from $25 to $100 so incarcerated people can retain more money for hygiene and basic necessities before deductions are taken. Rep. Chappala Street said the change would help people buy essential items and reduce conflict, while incarcerated witnesses and advocates testified that current deductions leave too little for basic needs and place burdens on families. A committee member questioned whether DOC already provides those items, and Street and supporters responded that provided items are often low quality or insufficient. No vote was taken. House Bill 2490 would expand extraordinary medical placement for incarcerated people with serious, chronic, or terminal conditions, extending the expected life-expectancy threshold from six months to approximately 18 months and adding clearer DOC review criteria and appeal rights. The prime sponsor and supporters argued the bill would improve humane care, reduce costs, and allow more people to receive treatment in the community when they no longer pose a public-safety risk. DOC said the revised language would reduce legal concerns and allow more time to develop safe placement plans, while opponents of the current system said EMP is underused and people die waiting for decisions. The committee also heard extensive testimony on House Bill 2387, which would tie certain sheriff decertification actions to recall procedures and preserve an elected sheriff’s office unless voters remove them. Supporters, including the sponsor and several sheriffs, said the bill protects voter control and local accountability; opponents, including civil rights and immigrant-rights groups, argued it weakens certification standards, creates unequal accountability for sheriffs, and improperly uses recall-like consequences through statute rather than constitutional process. The chair indicated the committee intended to act on House Bill 2508 the following Monday, February 2.
FL

Florida 2025 Regular Session

Health Policy Mar 18th, 2025

Transcript Highlights:
  • Rolling applied behavioral analysis into managed care.
  • And I think this is a step in the right direction.
  • clinical care.
  • I don't see that it would decrease access to patient care.
  • My health care provider had a credit for me."
Keywords: 999, senate, all
TX

Texas 89th 2nd C.S.

Appropriations - S/C on Article II Mar 13th, 2025

Appropriations - S/C on Article II

Transcript Highlights:
  • And they are also providing patient care, so it seems that they should also be getting the funds.
  • This would be for extended foster care.
  • The rider would direct the increase of appropriation as necessary to achieve that rate.
  • It's a potential issue could be that it's directing money specific to a local city.
  • Page 98, Charity care clinics in Texas. This would um direct.
WA

Washington 2025-2026 Regular Session

House Appropriations Dec 4th, 2025

Transcript Highlights:
  • Prior to the overcrowding, the direct care staff turnover was 18%.
  • The Health Care Authority and the Department of Commerce are coordinating as directed in House Bill 1813
  • And just as a reminder, a state-directed payment is just a tool that states have where we can direct
  • In health and human services areas like low-income health care, child care at Children, Youth, and Families
  • in state institutions and for youth and foster care.
Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.